August 2023

Diabetic foot ulcers, or DFUs, are a common complication of diabetes, resulting from prolonged high blood sugar levels that damage blood vessels and nerves. This condition impedes wound healing and leads to ulcers in weight-bearing areas such as the ball of the feet, heels, and toes. These types of diabetic foot ulcers can have severe consequences, contributing to a significant number of hospital admissions among people with diabetes. To effectively manage and treat DFUs, podiatrists use classification and scoring systems that can provide valuable insights into the severity and potential complications of these wounds. One widely recognized classification system is Wagner's, which assesses DFUs based on six grades. Factors such as ulcer depth, tissue necrosis extent, and bone infection presence are examined. The results range from Grade 0, which indicates no open lesions, to Grade 5, which shows gangrene of the entire foot. Wagner's system aids in treatment planning and understanding ulcer severity. If you suffer from diabetic foot ulcers, it is suggested that you make regular appointments with a podiatrist to monitor the stages of the ulcers.

Diabetic foot care is important in preventing foot ailments such as ulcers. If you are suffering from diabetes or have any other concerns about your feet, contact Jeffrey Parrett, DPM from Parrett Podiatry. Our doctor can provide the care you need to keep you pain-free and on your feet.

Diabetic Foot Care

Diabetes affects millions of people every year. The condition can damage blood vessels in many parts of the body, especially the feet. Because of this, taking care of your feet is essential if you have diabetes, and having a podiatrist help monitor your foot health is highly recommended.

The Importance of Caring for Your Feet

• Routinely inspect your feet for bruises or sores.
• Wear socks that fit your feet comfortably.
• Wear comfortable shoes that provide adequate support.

Patients with diabetes should have their doctor monitor their blood levels, as blood sugar levels play such a huge role in diabetic care. Monitoring these levels on a regular basis is highly advised.

It is always best to inform your healthcare professional of any concerns you may have regarding your feet, especially for diabetic patients. Early treatment and routine foot examinations are keys to maintaining proper health, especially because severe complications can arise if proper treatment is not applied.

If you have any questions please feel free to contact our office located in Waxahachie, TX . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Plantar fibroma, a perplexing foot condition, can create discomfort and disrupt daily activities. It involves the growth of benign fibrous tissue in the arch of the foot, leading to the development of a firm nodule. This condition is not linked to cancer and often occurs in the plantar fascia, the band of tissue connecting the heel bone to the toes. While the exact cause remains unclear, it's believed to result from trauma or genetic predisposition. Treatment options encompass a variety of approaches. Conservative measures include wearing orthotic inserts for support, and cushioned shoes to reduce pressure. In more severe cases, surgical removal may be considered. If you have developed a plantar fibroma, it is suggested that you confer with a podiatrist who can effectively diagnose and develop a tailored treatment plan for you.  

A plantar fibroma may disrupt your daily activities. If you have any concerns, contact Jeffrey Parrett, DPM of Parrett Podiatry. Our doctor can provide the care you need to keep you pain-free and on your feet.

Plantar Fibroma

A plantar fibroma is a fibrous knot in the arch of the foot. It is embedded in the plantar fascia which is a band of tissue that extends from the heel to the toes along the bottom of the foot. There can be multiple plantar fibromas in the feet at the same time. There are no known causes for this condition. If you have a plantar fibroma, there will be a bump in the arch of your foot that cannot be missed. Any associated pain is most often due to a shoe rubbing against the nodule. Non-surgical options, such as steroid injections, physical therapy, and orthotics should be tried first. Surgery is a last resort and is the only thing that will remove a plantar fibroma entirely. Consult with a podiatrist for a proper diagnosis and to determine the treatment regimen that is right for you.

What Causes a Plantar Fibroma?

While there are no specific causes identified, a plantar fibroma can possibly come from genetic predisposition or the formation of scar tissue that forms from healing the tears in the plantar fascia.

What Are the Symptoms of a Plantar Fibroma?

There will be a noticeable lump in the arch of the foot that may or may not cause pain. If pain is felt, it is typically because a shoe is rubbing up against the lump or when walking or standing barefoot.

Treatment and Prevention

A plantar fibroma will not disappear without treatment, but it can get smaller and be a non-issue. If pain persists, a podiatrist examines the foot and when the arch of the foot is pressed, pain can be felt down to the toes. An MRI or biopsy might be performed to help diagnose or evaluate the plantar fibroma. The following non-surgical options are generally enough to reduce the size and pain of these nodules:

• Steroid injections
• Orthotics
• Physical therapy to help apply anti-inflammatory creams on the bump 

Surgery is considered if the mass increases in size and the patient continues to feel pain after non-surgical methods are tried.

If you have any questions please feel free to contact our office located in Waxahachie, TX . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

With the warm weather upon us, we are eagerly pulling out our sandals and flip-flops. While this is a welcome trend in some respects, a downside is that it exposes cracked heels, an unsightly, sometimes painful, and potentially unhealthy condition. Wearing footwear such as sandals that expose the heels can lead to dry, cracked heels due to their lack of support and exposure to the elements. When our heels strike the ground while walking or running, the skin around them must be supple and flexible to move and stretch. Dryness and calluses hinder this flexibility, causing the skin to crack and split. To combat this condition, shoes with heel cups can be worn for better support and cushioning. Socks can also help prevent skin friction against the shoe's material. Hydrating well and moisturizing the feet regularly is particularly effective. If underlying causes for cracked heels, such as diabetes, contribute to cracked heels, they must be addressed to prevent recurrence. If you suffer from this uncomfortable ailment, it is suggested that you make an appointment with a podiatrist for a proper examination and individualized treatment.

If the skin on your feet starts to crack, you may want to see a podiatrist to find treatment. If you have any concerns, contact Jeffrey Parrett, DPM from Parrett Podiatry. Our doctor can provide the care you need to keep you pain-free and on your feet.

Cracked Heels

It is important to moisturize your cracked heels in order to prevent pain, bleeding, and infection. The reason cracked heels form is because the skin on the foot is too dry to support the immense pressure placed on them. When the foot expands, the dry skin on the foot begins to split.

Ways to Help Heal Them

• Invest in a good foot cream
• Try Using Petroleum Jelly
• Ease up on Soaps
• Drink Plenty of Water

Ways to Prevent Cracked Heels

• Moisturize After Showering
• Skip a Shower
• Keep Shower Water Lukewarm
• Don’t Scrub Your Feet

If you are unsure how to proceed in treating cracked heels, seek guidance from a podiatrist. Your doctor will help you with any questions or information you may need. 

If you have any questions, please feel free to contact our office located in Waxahachie, TX . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Hammertoe is a common foot condition that can happen from an imbalance of muscles surrounding the toe joints. Hammertoe can be categorized as classic hammertoe, mallet toe, and claw toe. In classic hammertoe, the affected toe will bend down at the joint and resemble a hammer. As toes are important to the balance of the foot and control pressure distribution, hammertoe can cause problems with walking. The affected toe can appear deformed, calluses can form on them, and it may be painful to wear shoes. Relief options for hammertoe pain can include choosing shoes with wide toe boxes, using toe pads, and wearing orthotics. If these conservative options are not successful and pain persists or worsens, surgery may be an option to straighten the toe. If you suffer from a painful hammertoe, it is suggested that you visit a podiatrist for an evaluation and to receive treatment that is personalized to your specific situation.

Hammertoes can be a painful condition to live with. For more information, contact Jeffrey Parrett, DPM of Parrett Podiatry. Our doctor will answer any of your foot- and ankle-related questions.

Hammertoe

Hammertoe is a foot deformity that occurs due to an imbalance in the muscles, tendons, or ligaments that normally hold the toe straight. It can be caused by the type of shoes you wear, your foot structure, trauma, and certain disease processes.

Symptoms

• Painful and/or difficult toe movement
• Swelling
• Joint stiffness
• Calluses/Corns
• Physical deformity

Risk Factors

• Age – The risk of hammertoe increases with age
• Sex – Women are more likely to have hammertoe compared to men
• Toe Length – You are more likely to develop hammertoe if your second toe is longer than your big toe
• Certain Diseases – Arthritis and diabetes may make you more likely to develop hammertoe

Treatment

If you have hammertoe, you should change into a more comfortable shoe that provides enough room for your toes. Exercises such as picking up marbles may strengthen and stretch your toe muscles. Nevertheless, it is important to seek assistance from a podiatrist in order to determine the severity of your hammertoe and see which treatment option will work best for you.

If you have any questions, please feel free to contact our office located in Waxahachie, TX . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Research has shown that approximately 20 percent of adults have foot pain regularly. There are various reasons why this can happen, including the wear and tear that can come from being obese. Stress fractures are a common source of foot pain among physically active people. This can happen from repetitive motion while frequently running or jogging, and the number of cases may have increased during the pandemic. Plantar fasciitis can begin with heel pain and often becomes worse without medical treatment. Diabetic patients experience foot pain which may be due to the nerve damage that often accompanies this condition. Psoriatic arthritis may begin with foot pain, and the ankle joints can become inflamed, too. If you have any type of foot pain, it is strongly suggested that you are under the care of a podiatrist who can effectively diagnose and treat foot pain conditions.

Foot Pain

Foot pain can be extremely painful and debilitating. If you have a foot pain, consult with Jeffrey Parrett, DPM from Parrett Podiatry. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Causes

Foot pain is a very broad condition that could be caused by one or more ailments. The most common include:

• Bunions
• Hammertoes
• Plantar Fasciitis
• Bone Spurs
• Corns
• Tarsal Tunnel Syndrome
• Ingrown Toenails
• Arthritis (such as Gout, Rheumatoid, and Osteoarthritis)
• Flat Feet
• Injury (from stress fractures, broken toe, foot, ankle, Achilles tendon ruptures, and sprains)
• And more

Diagnosis

To figure out the cause of foot pain, podiatrists utilize several different methods. This can range from simple visual inspections and sensation tests to X-rays and MRI scans. Prior medical history, family medical history, and any recent physical traumatic events will all be taken into consideration for a proper diagnosis.

Treatment

Treatment depends upon the cause of the foot pain. Whether it is resting, staying off the foot, or having surgery; podiatrists have a number of treatment options available for foot pain.

If you have any questions, please feel free to contact our office located in Waxahachie, TX . We offer the newest diagnostic and treatment technologies for all your foot care needs.